22D2161809 CLIA NUMBER - NEB OPERATOR, LLC

Laboratory Demographics

  • CLIA Code: 22D2161809
  • Facility Name: NEB OPERATOR, LLC
  • Facility Address: 70 FULTON ST
    BOSTON, MA
    ZIP 02109
  • Facility Phone: 617 843-5001
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KENYA HANSPARD
  • NPI Number: 1508386897
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2161809
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEB OPERATOR, LLC
Street 70 FULTON ST
City BOSTON
State MA
ZIP 02109
Phone 617 843-5001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KENYA HANSPARD

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This page was last updated on: 9/29/2025